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Showing results for "standards".

3421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74100/psn-pdf
      November 24, 2021 - Pediatric medication errors and reduction strategies in the perioperative period. November 24, 2021 Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324. https://psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period Pediatric medication errors during anesthesia …

3422. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35106/psn-pdf
      April 06, 2011 - A case of the birth and death of a high reliability healthcare organisation. April 6, 2011 Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. https://psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-h…

3423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45038/psn-pdf
      February 18, 2017 - Re-examining high reliability: actively organising for safety. February 18, 2017 Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698. https://psnet.ahrq.gov/issue/re-examining-high-reliability-actively-or…

3424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47387/psn-pdf
      September 12, 2018 - Guideline implementation: team communication. September 12, 2018 Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. https://psnet.ahrq.gov/issue/guideline-implementation-team-communication Although team development has rec…

3425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42564/psn-pdf
      September 11, 2013 - Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. September 11, 2013 Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1002/bjs.9168. https://psnet.ah…

3426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40320/psn-pdf
      March 30, 2011 - Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. March 30, 2011 Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. Journa…

3427. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39898/psn-pdf
      February 01, 2011 - Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. February 1, 2011 Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.…

3428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44533/psn-pdf
      April 25, 2016 - A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. April 25, 2016 Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification at Discharge. Jt Comm J Qual Patie…

3429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44695/psn-pdf
      June 07, 2016 - Enhancing surgical safety using digital multimedia technology. June 7, 2016 Dixon JL, Mukhopadhyay D, Hunt J, et al. Enhancing surgical safety using digital multimedia technology. Am J Surg. 2016;211(6):1095-8. doi:10.1016/j.amjsurg.2015.08.023. https://psnet.ahrq.gov/issue/enhancing-surgical-safety-using-digital-…

3430. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40556/psn-pdf
      June 29, 2011 - A review of medical error taxonomies: a human factors perspective. June 29, 2011 Taib IA, McIntosh AS, Caponecchia C, et al. A review of medical error taxonomies: A human factors perspective. Saf Sci. 2011;49(5):607-615. doi:10.1016/j.ssci.2010.12.014. https://psnet.ahrq.gov/issue/review-medical-error-taxonomies-h…

3431. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50674/psn-pdf
      November 20, 2019 - The surgical ward round checklist: improving patient safety and clinical documentation. November 20, 2019 Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JMDH.S178896. https://psnet.ahrq…

3432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42222/psn-pdf
      April 24, 2013 - Team communication during patient handover from the operating room: more than facts and figures. April 24, 2013 Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56. https://psnet.ahrq.gov/issue/team-commu…

3433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43069/psn-pdf
      April 16, 2014 - Decimal numbers and safe interpretation of clinical pathology results. April 16, 2014 Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865. https://psnet.ahrq.gov/issue/decimal-numbers-and-saf…

3434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42878/psn-pdf
      January 29, 2014 - A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. January 29, 2014 Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recogni…

3435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46685/psn-pdf
      January 17, 2018 - Insulin dosing error in a patient with severe hyperkalemia. January 17, 2018 Hewitt B, Barnard C, Bilimoria KY. Insulin Dosing Error in a Patient With Severe Hyperkalemia. JAMA. 2017;318(24):2485-2486. doi:10.1001/jama.2017.7964. https://psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia This ca…

3436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842432/psn-pdf
      January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…

3437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44159/psn-pdf
      July 08, 2016 - Vital Signs: Core Metrics for Health and Health Care Progress. July 8, 2016 Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309324939. https://psnet.ahrq.gov/issue/vital-signs-cor…

3438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45820/psn-pdf
      March 15, 2017 - Development of a pediatric adverse events terminology. March 15, 2017 Gipson DS, Kirkendall E, Gumbs-Petty B, et al. Development of a Pediatric Adverse Events Terminology. Pediatrics. 2017;139(1). doi:10.1542/peds.2016-0985. https://psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology Taxonomies h…

3439. Tough Call: Addressing Errors From Previous Providers | PSNet
      psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
      July 17, 2024 - regulation (including remediation and potential discipline of members who have failed to meet professional standards

3440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49758/psn-pdf
      April 01, 2016 - and mortality in tightly (versus moderately) controlled cohorts.(8) This evidence established new standards